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Editor's e-Note
Do we trust technology too much? Does our affection for convenience lead us to assume that “the computer” got it right?

In the HIM sphere, speech recognition has its place among the most celebrated tools, capable of making the grind less “grindy.” Still, caution is advised.

This month’s exclusive provides valuable insights into the dos and don’ts of how to manage the technology without falling victim to its hypnotic charms.

Lee DeOrio, editor
e-News Exclusive
Speech Recognition Dos and Don’ts

By Deb Palmer, CHDS; Christina Joseph; Sara Berry, CHDS; and Bonnie Jean Rieber, CHDS

Speech recognition (SR) was introduced with the intention of helping to eliminate human oversights and reduce critical patient safety errors. However, for this to happen, the SR editor must ensure an accurately edited document.

Throughout our editing careers, we have discovered a number of dos and don’ts that we follow when editing SR documents.

DOs
1. Do ensure you have the necessary tools needed to perform the job correctly. Ultimately, ensure that you have a comfortable noise-canceling headset with built-in volume control. Your workspace should be ergonomically correct. Your monitor should be 16 to 24 inches from your face. Adjust your sitting position to suit your body. If you have a stand-up desk, ensure the keyboard is at the correct height and you are not looking down or up at the screen. Using a foot pedal can save time and keystrokes.

2. Do ensure that you have proper lighting in your work area to alleviate eye strain. As well, ensure your working environment is quiet and free of distractions, allowing you to focus on the task at hand. Turn off cellphones and social media. Distractions will affect your ability to concentrate, which, in turn, could potentially cause you to miss errors in the SR draft.

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Products & Services
Tool Helps Health Plans Submit Member Assessments
Ciox Health announces the release of Ciox Chase Intelligence, a comprehensive solution to assist health plans in better assessing members for appropriate risk. This newest offering from Ciox utilizes provider data and historical encounter insight to offer a more exact picture of the health plan’s full member base and their needs. Ciox Chase Intelligence applies synchronized proprietary algorithms and historical provider performance to simplify health plan membership assessments. Health Plans servicing Affordable Care Act, Medicare, and Medicaid populations are required to submit member assessments annually to establish appropriate reimbursement rates based on qualified risk. The challenge plans face today is creating relevant and sufficiently robust member cross-sections and efficiently accessing provider encounter data with minimal provider abrasion. Ciox Chase Intelligence taps the nation’s largest pool of clinical data access and provider experience to optimize the chart chase process, reduce provider abrasion, and lower costs associated with validating member conditions. Blending the historical encounter data and provider data, the service expedites retrieval while delivering results—averaging a 10% to 12% improvement vs traditional models. Learn more »

FDB Launches Clinical Decision Support Analytics Solution
First Databank, Inc (FDB), a provider of drug and medical device knowledge that helps health care professionals make precise decisions, announces the launch of FDB CDS Analytics. The solution, featured at the recent HIMSS Global Conference & Exhibition, enables health care provider organizations to easily identify, monitor, and customize clinical decision support (CDS) in their EHR. This ultimately helps enhance clinician user experiences and advances CDS impact across all care areas to improve patient outcomes. FDB CDS Analytics is a cloud-based web application that leverages the health system’s data warehouse, along with FDB’s considerable drug knowledge and expertise, to offer preconfigured metrics and reports to track the effectiveness of decision support. The solution offers easy-to-understand dashboards designed for different roles within the organization (eg, chief medical information officers, pharmacy directors, analysts), and the ability to view trends across the entire institution, at the departmental level, and even for the individual clinician. FDB CDS Analytics can help organizations identify alerts that are ineffectual or may require optimization, leading to reduced alert volume and increased alert acceptance. CDS Analytics is part of FDB’s new PatientFirst Care Guidance solutions, which also includes FDB AlertSpace, FDB Targeted Medication Warnings, and FDB’s pharmacogenomic clinical decision support. Learn more »
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Industry Insight
AMA Announces Update to COVID-19 Vaccine CPT Codes

The American Medical Association (AMA) announces that the CPT code set has been updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to a new formulation of the COVID-19 vaccine developed by Pfizer. The new formulation is based on a tris-sucrose buffer rather than the phosphate buffer present in the original formulation.

The provisional CPT codes will be effective for use on the condition that tris-sucrose formulation of Pfizer’s COVID-19 vaccine receives approval or emergency use authorization from the FDA. The AMA is publishing the CPT code update now to ensure electronic systems across the US health care system are prepared for the potential FDA approval or authorization of the tris-sucrose formulation of Pfizer’s COVID-19 vaccine.

The development of vaccine-specific CPT codes has clinically distinguished each coronavirus vaccine and dosing schedule for better tracking, reporting and analysis that supports data-driven planning and allocation. COVID-19 vaccines from AstraZeneca, Janssen (Johnson & Johnson), Moderna, Novavax, and Pfizer’s original formulation have previously been issued unique CPT codes.

To help ensure accurate coding and reporting of COVID-19 vaccines and immunization services, the AMA offers a vaccine code finder resource to help identify the appropriate CPT code combination for the type and dose of COVID-19 vaccine provided to each patient.

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